Provider Demographics
NPI:1699958819
Name:ALLGOWER, DEVON A (PT)
Entity type:Individual
Prefix:
First Name:DEVON
Middle Name:A
Last Name:ALLGOWER
Suffix:
Gender:F
Credentials:PT
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Other - First Name:
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Mailing Address - Street 1:7361 PRAIRIE FALCON RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0823
Mailing Address - Country:US
Mailing Address - Phone:702-804-1511
Mailing Address - Fax:702-804-2551
Practice Address - Street 1:2780 W HORIZON RIDGE PKWY
Practice Address - Street 2:SUITE 40
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3995
Practice Address - Country:US
Practice Address - Phone:702-737-0304
Practice Address - Fax:702-733-9895
Is Sole Proprietor?:No
Enumeration Date:2007-12-11
Last Update Date:2009-01-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV21802251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV382617193OtherTIN